HomeMy WebLinkAboutX2021-3025 - Permit ApplicationWorksheet for Combo Building & Solar Permit A! at�o
[T Comm'I j- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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NEWPORT CENTER DRIVE, NEWPORT BEACH, CA 92660
.ription of Work !V -.LJ / LAAA1 VEA, r,:7,#TA'r-93-
New/Add SF Remodel SF
OWNER'S NAME Last CHAPPI
I Garage/New/Add F_
Y
6th
Suite No
FT -
Use PI Const Type 1A
# StoriesF # Units (if Res[7
"J11,000
Owner's Address Owner's E-mail Address
111 INNOVATION DRIVE - ACHAPPELL@IRVINECOMPANY.COM
City IRVINE - State CA Zip 92617 Telephone 949.729.2156
APPLICANT'S NAME Last IBADAWIMETCALF First
Applicant's Address
18600 MACARTHUR BLVD. SUITE 100
City IRVINE State CA
Applicant's E-mail Address
TMETCALF@SAAIA.COM
Zip 92612 Telephone 949 608 3710
ARCHITECT/DESIGNER'S NAME Last ALGAZE First NELSON Lic. No. C-21090
- - -- - I
ArchitectlDesigner's Address
6083 BRISTOL PARKWAY
City CULVER CITY State CA
Architect/Designer's E-mail Address
NALG E@SAAIA.COM
Zip 90230 Telephone 213 -929 -1400 -
ENGINEER'S NAME Last First Lic. No.
Engineer's Address
city State F-
- -- -
Engineer's E-mail Address
Zip Telephone
CONTRACTOR'S NAME/COMPANY DSC -Michael Simpson Lic. No. Class!
Contractor's Address Contractor's E-mail Address
_17177Gille-_- tte -- Ave �� michael@dsiminc.com
City Irvine State CA Zip 92614 Telephone 949 250 1348
SETBACKS REAR
SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
PERMIT NO. ✓ \/U V 2� ,0
PLAN CHECK NO.
PLAN CHECK FEES $